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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. DIANE REGINA JACKSON, ARNP

Active Sole Proprietor

Primary Care Nurse Practitioner · TAMPA, FL

Registration Details

NPI Number
1467796128
Provider Type
Individual
Gender
Female
NPI Issued
Nov 19, 2012 (13.419784348815 yrs)
Last Updated
Nov 20, 2014
Licenses
ARNP2121402 (FL)
ARNP2121402 (FL)
Sole Proprietor
Yes

Practice Information

Address
1248 E HILLSBOROUGH AVE
221
TAMPA, FL, 336047201
Browse FL providers · Browse ZIP 33604
Phone
8135160679
Primary Specialty
Primary Care Nurse Practitioner
363LP2300X

Other Primary Care Nurse Practitioner Providers in TAMPA, FL

Name Credential NPI
PATRICIA A BLESSING ARNP 1033153846
MS. SUSAN S BINGHAM NP 1053424945
HEIDI MIGLIORE ARNP 1538219753
MRS. DEYSI AGUILERA RN, BSN, ARNP 1538487046
AMANDA CAMP ARNP 1366761546
LORENA YAO RADNEY APRN 1982901807
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.